NPI 1467583153

Pain Management of North Idaho, PLLC

Organisation Interventional Pain Medicine Physician Coeur D Alene, ID

Practice location

Address: 1686 W Riverstone Dr STE 1, Coeur D Alene, ID 83814-5779
Phone: (208) 765-4807
Fax: (208) 765-2903

Authorised official

Name: Tina Marie Botai
Title: Practice Administrator
Phone: (208) 765-4807

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence M7860 (ID)

Other Pain Medicine providers in Idaho →

Registry record

NPI: 1467583153
Entity type: Organization
NPI issued: 7 Mar 2007
Record last updated: 26 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.